Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Puerto Rico Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1588705446

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in Bayamon, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Plaza Del Parque 1500 Ste 120 Ave Comerio
Bayamon, PR 00961-4458
Phone: (787) 740-0660
Fax: (787) 740-0718

No coordinates on file. Search this address in Google Maps

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 18-F-2409 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1588705446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Sams Pharmacy 10-6680; Sams Pharmacy 10-6680
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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